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Mount Desert Island Hospital - Coastal Care Team
In 2012, Mount Desert Island Hospital partnered with nonprofit organizations in three counties to launch the Coastal Care Team (CCT). The team works closely with patient-centered medical home practices to identify complex, high-need patients who may benefit from additional services. Patients are encouraged to set goals and to make small, consistent changes to aid in successfully managing their chronic disease. CCT is a multidisciplinary model consisting of registered nurses, social workers and health coaches. The team provides assessment, education and assistance with linking individuals to available community resources.
What is it?
In 2012, Mount Desert Island Hospital partnered with nonprofit organizations in three counties to launch the Coastal Care Team (CCT). The team works closely with patient-centered medical home practices to identify complex, high-need patients who may benefit from additional services. Patients are encouraged to set goals and to make small, consistent changes to aid in successfully managing their chronic disease. CCT is a multidisciplinary model consisting of registered nurses, social workers and health coaches. The team provides assessment, education and assistance with linking individuals to available community resources.
Who is it for?
Underserved patients with chronic or complex health conditions.
Why do they do it?
CCT is a lifeline for patients who live in geographic and social isolation. Many have care needs that extend beyond the capabilities of primary care practices.
Impact
CCT has served nearly 2,000 patients on a free and uncompensated basis.
Contact: Lynn Leighton, R.N.
Director of Care Management
Telephone: 207-288-5082, ext. 7801
Email: lynn.leighton@mdihospital.org
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AHA Center for Health Innovation Market Scan
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